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A study regarding the evaluation of stress and the accompanying changes at rehabilitation trainings in patients with higher brain dysfunctions.

Research Project

Project/Area Number 16500359
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionTokai University

Principal Investigator

SUGIMOTO Atsuo  Tokai University, School of Medicine, Assistant Researcher, 医学部, 助手 (60322509)

Co-Investigator(Kenkyū-buntansha) FURUKAWA Toshiaki  Tokai University, School of Medicine, Assistant Researcher, 医学部, 助手 (30276852)
TOYOKURA Minoru  Tokai University, School of Medicine, Associate Professor, 医学部, 助教授 (20217566)
ISHIDA Akira  Tokai University, School of Medicine, Professor, 医学部, 教授 (50118907)
Project Period (FY) 2004 – 2005
Project Status Completed (Fiscal Year 2005)
Budget Amount *help
¥3,800,000 (Direct Cost: ¥3,800,000)
Fiscal Year 2005: ¥200,000 (Direct Cost: ¥200,000)
Fiscal Year 2004: ¥3,600,000 (Direct Cost: ¥3,600,000)
Keywordshigher brain dysfunctions / cerebrovascular disease / autonomic nervous system
Research Abstract

Purpose :
The purposes of this study were to evaluate the degree of stress loaded on patients with cerebrovascular disease during rehabilitation or evaluation of the higher brain dysfunctions by means of frequency analyses (HF LF) of the variations in blood pressure and heart rate, and then to evaluate the improvement of the dysfunction and the variation in the degree of stress over time. Based on the results, we searched for an objective index to determine the duration of the rehabilitation and the frequency.
Subjects :
The study was conducted on a healthy group and a patient group with cerebrovascular disease. The healthy subjects included a total of nine students(seven males and two females). The patients with cerebrovascular disease were a total of seven patients (six males three cerebral infarction and three cerebral hemorrhage, and one female a cerebral hemorrhage).
Methods :
As a test to evaluate executive dysfunctions, we used Trial Making Tests Part A and Part B. As a test for memory disturbances, the Miyake-shiki memory test was used. In conducting the test to evaluate higher brain dysfunctions, autonomic nervous indices were measured. To measure the autonomic nervous indices, a polygraphtelemeter was used for electrocardiograph measurements and a Jentow cs was used for blood pressure measurements. The data were analyzed by the analysis tool of Fluclet. The measurement was repeated twice, at an interval of three weeks after the first measurement.
Conclusion :
It was indicative that rehabilitation trainings activating the sympathetic nerve lead to an improvement of conditions in patients with higher brain dysfunctions. Even if trainings of which physicians and staff involved in the rehabilitation are considered, well-planned and conducted, when the sympathetic nerve cannot be activated, we believe that it will be necessary to reconsider the pros and cons of any continuation of the trainings.

Report

(3 results)
  • 2005 Annual Research Report   Final Research Report Summary
  • 2004 Annual Research Report

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Published: 2004-04-01   Modified: 2016-04-21  

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